Which of the following types of cells is the immune system's shutoff mechanism?

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Burns Pediatric Primary Care Test Bank Questions

Question 1 of 5

Which of the following types of cells is the immune system's shutoff mechanism?

Correct Answer: B

Rationale: Suppressor T cells, also known as regulatory T cells, play a critical role in regulating the immune response by acting as the immune system's shutoff mechanism. These cells help maintain immune tolerance and prevent overactivation of the immune system, thereby preventing autoimmune reactions and excessive inflammation. Suppressor T cells exert their immunosuppressive effects by inhibiting the function of other immune cells, such as effector T cells and B cells, and helping to control the overall balance of the immune system.

Question 2 of 5

After general anesthesia, elective procedures should generally be avoided in children with a URI for how long?

Correct Answer: B

Rationale: It is recommended to wait at least 2-4 weeks after resolution of a URI before proceeding with elective surgery.

Question 3 of 5

The nurse teaches a diabetic client that diet plays a crucial role in managing diabetes mellitus. When evaluating dietary intake, the nurse knows the client is eating the right foods if total daily caloric intake consists of:

Correct Answer: A

Rationale: In managing diabetes mellitus, one of the key principles is proper macronutrient distribution in the diet. The recommended dietary intake for a diabetic client typically includes a moderate amount of carbohydrates (30% to 35% of total calories) in order to help control blood sugar levels. Including higher amounts of fat (around 40%) can be beneficial in managing this condition as well. Adequate protein intake (25% to 30%) is also important for overall health and satiety. This balanced macronutrient distribution helps in maintaining stable blood sugar levels throughout the day, supporting optimal diabetes management.

Question 4 of 5

Which combination of signs is commonly associated with glomerulonephritis?

Correct Answer: A

Rationale: Glomerulonephritis typically presents with mild to moderate proteinuria, hematuria, decreased urine output, and lethargy.

Question 5 of 5

For a client diagnosed with idiopathic thrombocytopenic purpura (ITP), which nursing intervention is appropriate?

Correct Answer: B

Rationale: The appropriate nursing intervention for a client diagnosed with idiopathic thrombocytopenic purpura (ITP) is administering platelets, as ordered, to maintain an adequate platelet count. ITP is a condition characterized by a decrease in platelet count, which can lead to thrombocytopenia and an increased risk of bleeding. Administering platelets can help prevent excessive bleeding and maintain hemostasis in these patients. Platelet transfusions may be required in severe cases to raise the platelet count to a safe level and prevent bleeding complications. It is crucial for nurses to monitor the platelet count regularly and administer platelets as prescribed to manage ITP effectively.

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